Blue Ventures has been working in Madagascar to incorporate sexual and reproductive health services with sustainable coastal livelihood and resource management initiatives. This integrated approach addresses the interconnected challenges of poor health, unmet family planning needs, environmental degradation, and food insecurity in a holistic way. It enables communities to manage their resources sustainably, both now and for the future. These approaches enable couples to better provide for their families by decreasing crude birth rates, improving food security, and empowering women to play an impactful role in resource management. Since Blue Ventures began in 2007, it is estimated that over 1,125 unintended pregnancies have been averted within a population of 20,000.